Provider Demographics
NPI:1720465180
Name:PEDROZA, DAMARI (LMHC)
Entity type:Individual
Prefix:
First Name:DAMARI
Middle Name:
Last Name:PEDROZA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 SAW MILL RIVER RD STE 3A
Mailing Address - Street 2:
Mailing Address - City:ARDSLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10502-2159
Mailing Address - Country:US
Mailing Address - Phone:347-625-8609
Mailing Address - Fax:914-663-5423
Practice Address - Street 1:545 SAW MILL RIVER RD STE 3A
Practice Address - Street 2:
Practice Address - City:ARDSLEY
Practice Address - State:NY
Practice Address - Zip Code:10502-2159
Practice Address - Country:US
Practice Address - Phone:347-625-8609
Practice Address - Fax:914-663-5423
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-05
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NY010255101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty